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- W2091195253 abstract "A previously healthy 12-year-old boy, one of 6 children, developed facial and peripheral edema, dark urine, decreased urinary output, and elevated blood pressure; his pediatrician referred him to the Hospital Universitario de Maracaibo. Six weeks prior to admission the patient had skin infections on his legs. Three weeks later he complained of a sore throat and was given oral tetracycline for 5 days. He received no other medications and had no history of ingestion of any toxic material. His family lived on the outskirts of the city in inadequate housing with poor sanitation. On admission, the boy was alert and apprehensive. His blood pressure was 140/90 mm Hg; heart rate, 88/mm; respiratory rate, 22/ mm; temperature, 37°C; and weight, 29.9 kg. He complained of a dull ache in the lumbar area, and he was more comfortable in a sitting than in a lying position. His face was puffy and he had 1 + pitting edema below the knees. His lungs were clear and his heart was not enlarged. A loud second aortic sound and a soft basal systolic murmur (grade II/V) were noted. Some tenderness in the right upper quadrant of the abdomen was evident, but liver, spleen, and abdominal masses were not felt. Neurologic examination, including level and state of consciousness, was within normal limits. Initial laboratory determinations yielded the following. Urinalysis revealed a specific gravity of 1.010, a pH of 6.0, 1 + proteinuria, and abundant red blood cell casts in the sediment. His hemoglobin was 10.8 g/dl and the blood smear showed microcytosis; the mean red cell volume was 70 fi, the mean corpuscular hemoglobin concentration was" @default.
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- W2091195253 date "1984-01-01" @default.
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- W2091195253 title "Epidemic poststreptococcal glomerulonephritis" @default.
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- W2091195253 doi "https://doi.org/10.1038/ki.1984.19" @default.
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